HomeMy WebLinkAboutMAY 14 2018 BUILD APPSAPPLICANT'S NAME:
PROJECT ADDRESS:
DescriDtion ol
\D^ t*9
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE RESIDENTIAT
PLEAST ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO,'ECT
"Prorect Responslbllly'
HONE #:
PHONE
Application
Number
(office use)
Date
orY:wrqr4lN
suBDtvtsroN:
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS:v6 CITY
CONTRACTOR: 4 ew
ADDRESS:CITY
EMAIL ADDRESS:
PROJECT CONTACI PERSON Jott^+1WY (r{€rftP)
TOTAL Sq FI UNDER ROOI llor proposed work) Heated:Unheated:
lfthe project is a Relocation, istherea Natural Gas Line on the current site? E Yes ,X
ztP
LOT #t{
NEw CONSTRUCfION: ! Erect New Residence ! Addition to Existing Residence n Relocation
***PIAUT CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT'*I
n Att Garage (SF)El Det Garage (SF)_D Porch (SF)
! Sunroom (SF)tr Pool(SF)
ExlsTlNG coNsTRUcTloN:X Alteration fl Renovation IGeneral Repairs
C Greenhouse{sF) go".rfsrf @-(J!EPtff+t)
ts the proposed work changing the existing footprint? tr Yes F t" NfFH)Ee
! Storage shed (sF)_
X[ other (sF) 431 lFpDlrtc],D
FAtEs2 BAtla AT lBr,ravtw wr.ru-sEi5
BLDG ENSE #:
sr:$!zrr
PHONT a €?D
@ 61b zg-l
ae41+*l
I J llffv t0 3; l9Pl.1
ls th€ proposed work changing the number of bedrooms? ! Yes KNo
ls any Eledrical, Plumbing or Mechanical work being done to the Accessory Structure E ves fl to
no flP6ls there Elestrical Power on this Building? fl Yes ! No
Prop€rty Use/ Occu si mt
t\,4.
T
work:@t$$ffi 'rNDfteh,F&Tro ((8 A&\€
laws and ordinances and regulations. The NHC Development Services Center will be noti{ied of any chanSe
information. **+NOTEi Any work performed without the appropriate permits willbe in violation of the NC
s in the
E
specifi cations or chanSe in contractor
tofines up to S50O.0O"'
na.y ,.r\lp734to tleo(
irr. xqz MvrEPra.
Owner/Contractor:
"Licensed Quolifier"
ignature:
rs the property rocated in a ftoodprain?fitpy, iZ O*r* Brrr.tctt
Eristing lmpervious Alea: ; Sq Ft - - TotalAcres Disturbed:
*xewWe*stgtnrcE,*,{L
N€w lmpervious Area:Agtle Sq ft Existing Land Disturbing Permit: n YesAN. r-t/p.
WATER: Fr CFPUA D Community System D Private Well n Central Well n Aqua
SEWER: ECFPUA D Community System E Private Septic n Central Septic n Aqua
Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+zft= _
r1
Comment:Permit Fee: S $15-
Aot& qr71
WnSbo
TorAt PRoJEcr cosT (Less Lot): 5 + )leo
CIear Form Print eMall
NEW HANOVER COUNTY BUITDING PERMIT
APPLICATION IYP6; RESIDENTIAL
PLLASE ANS\1,'!A /,II QUESIICNS A?PL CA3LT ]O YOU;I PFO]:CT
"Pro,ect ResponsibilitY"
)o\T-ffiD+
I
APPLIcANT'S NAM€: Kinooost Desion &onsln,clion Date
PROJECT ADDRESS:26n N Bee.h Road clIY Wilminoton ztP 28411
SU B DIVISION Fi^, rrp Finht lsl2..l tOT 41 260
PROPERIY OWNER'5 NAME: N4cDar^ & Raoan Folan PHONE H: 336-918-3810
OwNER'S ADDRESS: jua19 Arbor Place Drivl _ ..__ .._CITY: \t/instor'r -Sale nr
CONTRACTOR: KinoDost Desion & ConstrLrcl orl
/lP 27104
B|-DG LtCtNSE ir.5r56'r
-ADDRESS: 4022 l'4arket Street CITY: Wilntinot0n sr: l[Q- zlP:_!!!Q]-
EMAIL ADDRESS:k in o n osllori ri 6) n rn e il com PHONE 910,016-11 73
PHONE: 910-367-9323
fXISTING CONSTRUCTION: I Alteration .. Renovation I General Repairs,/
NEW CONSTRUCTION: -/ Erect New ResiCence Additlon to Exlsting ilesidence I Relo.aricn
*T'PLEASE CHECK AND ANSWTR BELOW AtI- THAT APPI-Y TO YOUR PROJECTT**
I j Att Garage (5F)f5L_
*l sunroom {SF)
: Greenhouse (SFl_
D oet Garage (5F)_
_. t,ool (SF)
! Porch (St )
. Storage Shed (SF) 457
_ Deck i SF) 1578 : orher isF)
ls the proposed wo.k changing the existing footprinr? I Yes . - No
TOTAL SQ fT UND€n ROOI Uor ptoposed work) Heated 527 5
IOTAL PROJECT COS] ltess Lot): S 1460.000
Unheated::Le]4
ls the proposec work changing the nurnber of bedroo.r's? I Yes ,1No
ls any Electri(al, Phmbing or Mechanicalwork being done to the Accessory Struclure I Yes
li the p.oject is a Re,ocation, i5 there a Natur.rl Gas Linern thrr cLlrr-.nt sile I -: Yes -j)/No
ls there Elec'rcal Power on this Building) i ves ,Ao-/
Property Use/ Occup ancy: y'Single tamily Duplex Townhouse
, */. r,l"
Description o{ Work: - -
New two storv house on oilinos
lawt aod ordinan.es ind reSulanoni. The NHC Ocvelopmert service3 Center will be.otilied ofanv.han8et in U,a approved plans rnd spe.ificalions or.h3nge in.ooracior
iDlorm.non. r "liOIE. An, work perlodncd w,tr"out tht).ppropi;ate perr,'.s will be ie violation or th€ NC Star€ Bldg Code :nd subject lo rries !p to 5500.0C"'
Contra.tor: Todd Plocharczvk Signature:L dcr
'Licensecl QLatifiet' Pi.i l',lame
l. the p.operty'ocated rr a troodplarr ? y'les No
Existing lmperviour area: j:Ll_l-- 5q Ft Total Acres Disturbedr . -
New lmpervious Area: _j::U!l-l SqFt Exlsting l-and Disturbing Permil: ,-yes : No
WATERT -l CFPUA /Community System f Private Wel, i , CentralWell al aqLra
SEWER: - CFPUA I ComnrLnity System .lrivate Sepric - Cent.al Septic j Aqua
zone:_ officer: _ setbacks{r) _(tH)_ _(RH)_-_(B)_ -
Approval:- City: *- - Date:- Flood: (A)
-
(V) , '- (N)
- -BFE+2ft=-
Comment:Permit fee: S
.
,*r,i}si
Irl t-at
PROJECl CONTACT PERSoN: Ada!] Bu-Uet_
i-
NEW HANOVER COUNTY EUILDING PERI4IT
APPLICATI,N |YPE r COI'iMERCIAL
9LEAsr Arr9ritl A'-r QirtSi:e:li r1"!:(aBLa ro (a\rn psoJacr
"Project Reiponsibili.ty"
it 5,t g-
I/BUSIlt€sS riAllE: 9.{ e T ,lr+l LlZ
ficr Spnaturc Fngl$8
appl I rloru
iOll i.r L-i.l
APPLXn T'S *tr.1€:
DEVELOP€N:
foa- st' -N(
oare: t.Za.t(
ZIP;r3yi.J-
PHOI{E S:
trp,Z1 417
sr: rl( zrP: llit-l
_ PHoNE s: iq $Ly.tltS-fiZZpHo f f: qL!i.qi9-ll 1a
rr*) ulur (
PRO]ECT
occuPAx
pRoPEFTY o!$lER,5 ltaNe : \r,fl{rt
1z-
O|.rNER'S Aoo*ESS: 53h fiqqr, ?(CITY:
I
I (o
l
CON-rRACTOR
ADORTSS:U
FEATL ADDRESS:
t{r . LICEN:E
("- r005 /
PRO]€CT CONTACT PERsOII:
CITY:
.ft-tato
EXrSr COISTRTJCTTON: tf ALTERATIOT] T--l RENoVATTON - GEN€RAL REPATRS T-]
rl Rcl.,( n'cll. rs t,,e,e a \dlLrra, Gas Line or t ,ehJ.rn,'t S'tn, * tHi- ruo ,S grtrC Spt *
lr: UPFIT - The 5hel1 Permit $
fi,t68 O'SIGN PnOraSSlOtlAL :,
e
I,JEW CONSTRUCTION:ERECT NEW SIRUCTURE FAST TRACX
ACC!550RY STRUCTUn€ ; {er..rxr-l )lcc ttrk'.'.,.
t r(!3
RELOCATION
Kl-€REO{- Yesf
SHELL UPF IT ADD TO EXIST STRU(TURE
a K
ls Elect poeei on !!,i s Building f Yes T NO
\a rtt c, rl
'r." I5 TXIS A CHAr.r6E OF OarUPAIrl
IF Ye5, rhat ras the previou5 occuprncy Type)
USE I T YES
_ lrhat ii tne llet, O<cupanay
I{8fi}r.rrcn PRorESsroxAL: --\ - ?*4n LalL35]r( Rrc r.A?l{7 i
{(u'6 ..n
ls lood or beve€ges l)repa.ed or se.?ed in lh,s slrucl.r,erT YesT No ls The Propeny Located lnThe Floodpla
l.li
I(!.
iGNA
SO
':T
PER FLR
EXSl LAND DISTURBING PERMIT?
EXIS IING I},4PERVIOUS AREA
,,y
OWNER/CONTRACT
t!'nlti Dli@n'@ltui,nrrldB a a5
IOTAL PROJECT COS-T
TOTAL AREA SQ FT -
{$. r; eu,ror*c urrc"r
TOTAi SO FI UIIDTR RC
TY j r\,Jo-
\EW IIII'E RVIOUS ARFA
ZONE, CFFICER
Approval:_ Cny._ DATE_ FLOODT BFE+2i
/\VN
SO TT
PRoPERTY USE: f]oFrrcE NE STAURAI..]T irFi
WATER T-]CFPL,A
seweR Hcroua
SYSTEtvt
COMMUNITY SYSTEM
CENTRAL SEPTIC D t IIJELL
VAT1: 5EI'TIC
T"I ZONING USE CLASSIEICAT ION
g?o,trt'aur.r r.
PAYMENT METHODI T CASH T CHECK 1PAYABLE To NHC] T . AI,ERICAN EXPRESS T, tjIcA/IsA T - DISCoVER
lFaa oF!rcF 1,sa oNtY)
x q*s)i
PHOi{E t:
tr
-,--+-
I
rOF SIRUC-URFS, E
,, ()[ UNtIs D
* .,r gronre s-]-
r oF FLooRS ;E--
.14
SETBACKS: F LH_ RH_. B_
APPLICANT'S ITAI'IE :6
i\. NEId
Clear Form Print eMail
HANOVER COUNTY BUILDING PERMIT
aPPLIcarIoN rYPE: COitttIERCIAL
PLEASE ANSIiIER ALt QUESIIoNS APPLICABLE TO YOUR PROIECT
"Project Responsibility''
L 5;8-
ATET r |c*l 1s-z
h."tc,. c*, Trxr (r,',, .
(check All Ihat Apply)
- PHoNE #: g(rq-qr 5-rttz
RELOCATION
KLERED'{'-_ Yesl-_
APPL ICATIO
Number
(office Use)
sr: NC zIP:215r ?*|d gLl.qtS-il72
!Do( f
,
DEVELOPER:
PRO]ECT ADD
OCCUPAT{T/BUSINESS tlAr,tE :
PROPERTY OId ER'S iIAItE :
-oarr,: \.Zo.le
PHONE f:
zrr:2 g t t)
- PHONE #:aiwa Tar\ sr:
-__.--------j_NLzIP:Zl 6lj
LICENSE *:1or31
, CITY:C cq
oI{NER's ADDRESS: 35ho 6z4co c.r PKwq)
CONTRACTOR:tf,c
ADDRESS:
EMAI L
PRO]ECT CONTACT E
DESCRIPTION OF WORK:
OWNER/CONTRACT
(ouali6q)
STRUCTURE tr FAST TRACK tra(C c\Fk .rr.
-loro
PH
PHONE
1,)&r
EXIST CONSTRUCTION: Elf Relocation, is there a Natural
ALTERATION
Gas Line on the
T"l RENovarro T--l GENFRAL REpArRs EbJnenr site? J- H; ro rs BLDG sP-RrN
NoNEt{ CoNSTRUCTIoN: LI ERECT NE}l
ACCESSORY STRUCTURE: (erns.rCl f
SHELL N UPFIT ADD TO EXIST STRUCTURE
Is Elect Power on th s Building f. Yes f No
oF occuPAilcY usE? r YES
l.lew Occupancy_ t{hat is the
,r,qn-LAl L59) ^, nrc *,0I?fZD
If UPFIT - The Shell Permit *:
{.i.:i*,} Is THIS A CHANGE
IF Yes, what was the Previous Occupancy Type?
TvDe?ARTH DESIGN PROFESSIOT.IAL:
ENGR DESIGT{ PROF ESSIOT,IAL :-NC REG #:
L rvss aJl rr.r'g n^d
SQ FT PER FLR: .
# OF STRUCTURES
SQ FT EXISTING IMPERVIOUS AREA:
,J(IGNATU
# OF STORIES
# OF FLOORS
EXST LAND DISTURBING PERMIT? T YE
ls food or beverages prepared or served in this structure?f _ ves!-- t,to ts The Propeny Located ln The
N8Cf,luen, I f,"r"Uy..rtiry that all informaljon in lhis applicatjon is conect and all work will comply with the State Building Code
and local laws and ordinances and lations. The Services Center w;ll b€ notified of anvw/O the Appropriate Permrls in lhe a
subiedlo Fines lJp To
Performed inin contraclor or
Note: Demolition notifications A applicalioos are lo be submined using th€ appllcatjon form (DHH93768) wherherthe facjliiy or building u.as found ro
conlain Asbestos or noi. You are rcquired to Nalional Emission Standards lor Hazardous Ak Pollurants (NESHAP) ar (919)707-5950 at teasl l0 days pnor io the
demorton ofany facrlrry or b!rldi.g SeeAsbeslos Web S(e
TOTAL PROJECT COST $. /p autorr.rc uercnr'# OF UNITS
TOTAL AREA SQ FT :
TOTAL SQ FT UNDER
ACRES DISTURBED
NEW IMPERVIOUS AREA:SQ FT
PRopERry usE: EoFFrcE ! nesrnunrnr ! rr,rencer.rrrr-e[ EDUcn AprJ-l coNDo orre, -|1,pg,{-
WATER
SEWER
SYSTEM
r-lcFPUA T'l COMMUNTW SYSTEM T-l WELL r"l ZONTNG USE CLA
ffcreua flcrrurnnl seerc 11 l,HIvArE sEpflc ELdcMMUNtry..'SEPABATE PERMITS REOI]iRED TOR ELECT,I\.4ECH, PLBG GAS EOUIP, PREFABS & INSERTS
SSIFICATION
PAYMENT METHOD ;- casn l-. cxecK (eAvABLE ro NHc) f - AMERIcAN ExpREss l-_ ucnrtse l-_ otscovER
ZONE: OFFICER
(FOR OFFTCE USE ONLY)
SETBACKS: F:BApproval:_ City:_ DATE_ FLOOD BFE+2ft,
ab
Comment
LH RH
N
-.iiiit a06-40)9
l6-#?tr
--{]!>
8PR lg 11:!
PERMIT FEE: I
1at
NEId HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE; RESIDENTIAL
PTEASE ANSI.JER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
2-ot0-4q9
APPLICATION
Number
(Office Use)
DEVELOPER: McAdams Homes LLC PHoNE #: 910?983006
SUBDIVISION: Lea Landinq
PROPERTY oV'INER'S NAME: McAdams Homes LLC
LICENSE #: 6eeo7
CITY: wilmin(]ton
LOT f: 17
PHONE #: 9107983006
ACCOUNT #:
No
,it1B1' Ie t.:t Iri
CONTRACTOR: McAdams Homes LLC
ADDRESS: 5626 c cordon Rd 5T: Nc ZIP: 28411
EIIAIL ADDRESS: traynor@mcadamshomes . net /bianca@mcadamshomes . net PHONE #:9107983006
PROJECT CONTACT PERSON: Tlm Ra1,.nor PHONE #: 910s082298
EXISTING CONSTRUCTION:ALTE RATlON R ENOVATION GENERAL REPAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEVI RESIDENCE or ADDITION TO EXISTING RESIDENC E
.*T.PLEASE CHECK AND ANSI.IER EELOW ALL THAT APPLY TO YOUR PRO]ECT:
tr I eoncN LsFATT GARAGE 407 SF
SUNROOM
-SF
GREENHOUSE SF
DET GARAGE
-
SF
POOL _ SF
DECK SF
STORAGE SHED 5FtrOTHE R :SF
TOTAL HEATED 5Q FT: lsso TOTAL 5Q FT UNDER RoOF: 206e TOTAL AREA 5Q FT: zoeg
TOTAL PROIECT C05T 1r"s" ro9 : $ r:sooo # 0F 5T0RIE5:
Is Any ELECTRICALT PLUMBING o. IiIECHANICAL tlork Eeing Done to the Accessory Structure? [ Yes
If the project is a Relocation, is thene a Natunal Gas Line on the Current Site? [Ves ffi to
Is thene Electrical Power on this Buil.ding?ves l-l ro
PROPERTY USE / OCCUPANCY:sTNGLE FAprrLy ! ouerex I rowruHousr
DESCRIPTION OF WORK: Erect 4BR, 2.5 BA. 2 car qaraqe sinqfe familv home
I
I
DISCLAIMER hereby cerrily hat att nbrmation in lhis applicalion is correci and all work willcompty with lhe State Bu tding Code and a[
and ordinances and regulalions. The NHC Developmenl Services Center willbe notlied ofanychanges in the approved plans and ange in conlrmioror
conlraclor inbrmalion. '*NOTE: Any Work Performed W/O the Apprcprlale Permils witt be in Viotarion olthe NC State Btdq Code an es Up To $500.00"'
OWNER/CONTRACTOR: adam sosne SIGNATURE:
(Prinr NEnej********r*++{ +,f+*++******i****+****
rs THE PROPERTY LOCATED rN A FLOODPLATN? n yES F-'l ruO
EXISTING III.IPERVIOUS AREA:
-sQ
FT TOTAL ACRES DISTURBED:
NEt^l IMPERVIOUS AREA:SQ FT EXrsT LAND DTSTURBTNG prnr,trr: [ll yes [-*l ruo
* * * ** * * ++ + ++ * * ** * * ** * * *+ * *,i + * * * * * * ** *+ * * ** * * ** * * **+ *+
CFPUA COMIVIUNITY SYSTEM PRIVATE WELL CENTRAL bJELLUATER:
SEWER:
hl
At^^t'--! creua f] crrurnar seenc I pRrvArE sEprrc COMI,IUNITY SYsTEI.,1
*** sEpARAla pERt'lrTs REQU:aa' FOR ELECT, tlECHr pLB6, G.{5 EQUrp, pREFABS & JSERTS ***
pAyr,rENT r4ErHoD: Icnsx [cxecK (payaBLE ro wcy I rr., oa,orrr I mcTvrsa I orscoven************+**********+***********+)t********++***********+,f*******+)**+*********+*+)t****
ZONE :OFFICER:
Appnoval:_ City:_ DATE :_ FLOOD:
Comment:
(FOR OFFICE I]SE ONLY) REVISED OATE O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
BFE+2ft=
N
PERMIT FEE:
#
APPLICANT's NAME: McAdams Homes tLC DAIEi 4/3a/fi
PROIECT ADDRESS: 809 Lea Landinq CfTY: witminqron Zlp i 20412
BLOCK #:
OWNER'S ADDRESS: 6626-c Gordon Rd CITY: wilminqton ST:ILZIP:28411
(
L.)'!.!.ffi NEW HANOVER COUNW BUILDING PERMIT
APPLICATION fYPE: RESIDENTIAL
PTEASE ANSWER ALL QUESTIONS APPLICAELE TO YOUR PROJECT
"Pro.ied Responsibilit/'
CITY
?D\6-AqsJ
Application
Number
(office use)
*6APPI-ICANT'S NAME:
PROJECT ADDRESS:
SUBDIVISION:
ztP
toT #
V PHoNE#:4/D- S4l"lll1PROPERTY OWNER,S NAME:
OWNER'S ADDRESS:crw: lr0t L lY\
CONTRACTOR:B
ADDRESS:CITY:
EMAIL ADDRESS:PHONE
PROJECT CONTACT PERSON PHONE
ExlsTlNG CONSTRUcTIoN:FoAlteration E Renovation E General Repairs
NEW CONSTRUCIION: E Erect New Residence rl$ nddition to Existing Residence ! Relocation
***PLEASE CHECK AND ANSWER BELOW ALL THAT APPI.Y TO YOUR PROJECTI'*
ztP /.P.UL I
LICENSE #t\rt-
sr:O4 zrp,7R4ll
4 to .{40-T11
! Att Garage (SF)_
p srnroortsrt 7l h
n Greenhouse (SF)
"N
n Det Garase {SFl
tr Pool (SF)
! Deck (sF)
tr Porch (SF)
n Storage Shed (SF)_
tr Other (SF)
ls the proposed work changing the existing footprint? E Yes E No
TOTAL Sq FT UNDER ROOF Vot ptoposed work) Heated:ztb
TOTAL PROJECT COST (Less Lot): $
ls the proposed work changing the number of bedrooms? !
ls any Electrical, Plumbing or Mechanicalwork being done to
lf the project is a Relocation, is there a Natural Gas Line on th
ls there Electrical Poweron this Building?.E3Yes D No
ves E no
thedclessory Structure $Yes 3 No
e current site? n Yes Tii No-r
Unheated:
3BffPE IS 3r5iF|1
Property Use/ Occupan si le Fami ly Du tr T
Description oI work:
laws and ordinances and re8ulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor
information. "'NOTE: Any work performed without the priate permits willbe in violation of the NC State Bldg Code and
Owner/Contractor:
"Licensed Quolifrer"
ls the property located in a floodplain? ! Yes E No
ExistinS lmpervious Area: _ Sq Ft TotalAcres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: n Yes E No
WATER: tr CFPUA ! Community System ,/k0 Private Well n Central Well n Aqua
SEWER: FiCFPUA ! Community System ! Private Septic ! Central Septic ! Aqua
Zone: _ Officen _ Setbacks (F) _ (LH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ flood: (A) _ (V) _ (N) _ BFE+zft= _
signaturet?t\g
nneslip ro Ssoo.m"'
CrL-
P 1,n,,rl
,'t (A D.r*t t
tr^r! -al
Comment:Permit Fee: $
T^g e;
JorB -Wfl
Application
Number
(office use)
:NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION ryPE; RESI DENTIAL
PLEASE ANSWER ALL QUESTION5 APPLICAELE TO YOUR PROJECT
"Project Responsibility''
APPL|cANT's NAME: Stone-lvlontgomery Construction oate:411112018
PROJECT ADDRESS: 2014 South Live Oak Parkwav CIW: Wilminoton ZIP 28403
SUBDIvISION: Oleander Estates LOT #: 34
PROPERTY OWNER'S NAME: William and Brooke Hooks
OWNER'S ADDRESS: 2014 South Live Oak Parkwav
PHONE #
clw: Wilminqton ztP:28403
CONTRACTOR: Stone-Montqomery Construction
ADDRESS: 1 15-5 Hinton Avenue CITY: Wilminoton ST:0L ZIP:28403
BLDG LICENSE #24130
EMAIL ADDRESS: ien nifer@stonemontqomery.com PHONE: 910-799-3939
PROJECT CONTACT PERSON: Robert Montqomery PHoNE: 910-520-1653
EXISTING CONSTRUCTION: D Alteration m Renovation ! General Repairs
NEW CONSTRUCTION: I ErectNew Residence E Addition to Existing Residence n Relocation
,}I.{'PLEASE CHECK AND ANSWER BETOW ALL THAT APPLY TO YOUR PROJECT{'*I'
I Att Garage (5F)E Det Garage {SF)_f Porch (SF)
n Sunroom (SF)! Pool (SF)n Storage Shed (SF)_
n Greenhouse (SF)I Deck (SF)tr Other (SF)
ls the proposed work changing the existing footprint? ! Yes n No
TOTAT SQ FT UNDER ROOF {Jor proposed workJ Heated;400 {
TOTAL PROJECT COST (Less Lot)000 0,u"4*
Unheated:
5
lstheproposedworkchangingthenumberof bedrooms? D Yes m No
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesBNo
lf the project is a Relocation, is there a Natural Gas Line on the current site? n Yes E No
ls there Electrical Power on this Building? E Yes ! No
Property Use/ Occupancyi 6 Single Family n Duplex ! Townhouse
Description of Work: K-itreher+ reneyatien an
laws and ordinances and regulations. The NHC Development Serviaes Center will be notified of any changes in the approved plans and specifications or change in contractor
information. ***NOTE: Any work performed without the appropriate permits wlll be in violetion of the NC 8dc and subject ti fines up to 5500.00'*+
owner/Contractor: Robert Montgomery Signature:
"Licensed Quolifier" Print Nome
ls the property located in a floodplain? ! Yes E No
Existing lmpervious Area: _ Sq Ft TotalAcres Disturbed:
New lmpervious Area:Sq Ft Existing Land Disturbing Permit: n Yes f No
WATER: E CFPUA n Community System D Private Well f] Central Well ! Aqua
SEWER: d CFPUA tr Community System n Private Septic n Centralseptic ! Aqua
zone: _ Otficer; _ Setbacks (F) _ (tH) _ (RH) _ (B) _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) _ BFE+2ft= _
Comment: Permit Fee: S
t-[to.0D
l6=€#.
/*t
(fl
$
NEW HANOVER COUNTY BUILDING PERMIT
APPLI f,jTION ff PE: RESI DENnAt
PI.EAST ANSWTR ALI- QUESTIOI'IS APPI.ICABLE TO YOUR PRO,ECT
'Prolect ResponrlbllM
L
zotg-qay
(oflicc u3€l*lra /raKe-r+f', Vroob5 a K.=obs DateAPPI,JCA TS NAME:
PROJECT AODRESS:tsq4c Balcl E aql... L3!1e- crw LJ r I rri, no.fs.r,-ztP"9Rtr I
suEDtvtsloN:J
e-ilJ-r 5 1 rrrar lc*morrr,ctlo-Sq-"oul
owNrR's ADDRT5S: 8tl qq,Batd taqte- Lqn *-orY: LJ i I ". i^q\p.'1 aPr28q I IJ.-r
8r-DG L|CEi{SE rce5Dcc,5
ADDRTSS:3ot - or. l.(. Gruo --.ryrrJer. rc-' f)r. OTY lJ, L;,,.',,}t.r.sr dc_2P,28*0S
d;
PROPERTY OWNER'S NAME:
CONTRACIOi t-
EMAII, AODRESS '.nC> fd tdcus-to '.--.fe e.5 - c c..r'-r PHONE Iqlo - +z.o - 36sd
PROJECI CONTACT PERSON I r r-- t-^ re,l [S PHor{E: ?lo'5lA Gl3G
tXlSTll{G CONSTtUgnO ::l Alteration D Renovation E General Repairs
NEWCO STnUCTIONi E Erect l{ew Residence [l Addition to Existing Residence ! Relocation
... PI,.EAST CHEC( A'{D ANSWTN BTTOW AII THAT APPLY TO YOUN PROJECT" '
tr An Garage (SF)-
! Sunroon (SF)_
5 Greenhouse (SF)_
D Det GaraSe (SF)_
! Pool(SF)
{oecttstl
ls the proposed wo* changing the existing footprint? D Yes E No
TOtAt SQFI UNDER ROOI llor prcposed worl) Xe.ted: { Unhealed;
ToTAL PROJICI COST (Less Lot)r S I 3, BcD*
ls th€ propos€d wort chanSinS the number ol bedrooms? O Vcs /fro
ls any Elcctrlc.l, P'lumung or Mcchaltlcel wo* b€in8 done to the A6essory Strudure D vC.
lf the proiect is a Rebc.don, is there a Natural Gas Une on the current site? ! Ver /no
554
?4 FR l8 9:898t'l{no
ls there ElectricalPow€r on this Bulldin8? tr Y.s tr no De c-k -n3tall-t6\-\
Proplity UsG/ occup.n v, g/sl,Ble f".,,, tr Duphr fl Townhous.
D€scrlpllon ot Worl:
M e- 5b4ao fi.Ar-o-k(,,*-.."-t)
lews .od ordin.rr6 .nd r.gul.tlonr. The l{HC Oevalop.rEnt Sarvlcas Clot.r wlll be norfi.d of.ny chrqe
a, onrlatbn. "'iloTt: Ally wo.t p.rto.m.d wlthout thc apFoprlate pcrmlts wll be in violation ot thr t{C
sinthea plane and sp€cificalion! o.
Cod€ and rllbjecl to finer up to 9SO0.m"'
owner/Contractor: I i rr,rrr.rur L-\ellS Sitnatu
'Licensed Quolifret"P,;; Nr^,
lsthe property located in a floodplain? fl Y6 fl t{o
Erlstlnt lnpeMour Aie:: _ Sq Ft T@l Acres Disturbed:
NGw lmpelylou3 Area: _ Sq Ft Exlnlng t nd Dishrrbin! Permit: E yes D No
WATER: [] CFPUA q Community System D Private Well X Centralwe n Aqua
StWtR: ! CrfUl \ Community System E Private Septic E Centralseptic D Aqua--1
Zone: _ Ollicer: _ Setbacb (t) _ (LH) _ (RH) _ (8) _
Approval: _ Cttyr _ Date: _ rlood: (A)_ (V) _ (N) _ BFEr2ft= _
od
Commentl Permit fee: S
/'16,-TJSD=
D Porch (SF)_
tr StoraSe Shed (SF)_
D Olher {St)_
l+
,. -l-- '-. .,J'
riffi;NB/II F}{ITIOVER @IJNTY zuI I.I)| I{G PEF[/| IT
AFI1JOAIIChI TY?E FEIDEINAL
RFSEAT\€tr/BAlqJBfiohlSAFR oAE ElO l(I-R PnEr
'Prcrjed rusponlibitity'
zo/& V3'{1'L8:tt23
ApCicalion
ht.rrt€t
(office use)
IV-3 .t.t_ [\^.J-APftJCq'\IT S NAM E
PRO.ETADDFES
SJBDIVISOT.I:
PROFHTYO^NERSMME
O\ANERSADDRES
cofvTRAcroR
ADOF68
EMAILADDFES
It-'UTY:
9+,h-., tJ,'0.
orh
LOTfr
*s,c*, 4to 76tt l,b-/ y
OrY i.r. ln^ zP._/.fr.1 ILf
L
o IJCENS#:t
OTY ,.JJ ,sr' L(dP 2,t1 I t
PHONE '11tl ) Ltl t)-r K
PRO.f CI @NIAC| PEFSOI,I:.(h PIIONE
D{SnNG @$lSIFUgllON: O Aterdion tr runovation O Ganerat FEpairs
NBA/ o{SIFUCIIO!: tr &ed lk/v Fuiclence 6 46611;- to Bi$ing Fbddene O FHocation
'-- REASOI&(ANDANSA/BBE.oWAI I'THATAPPLYTO\OI.,RPM.Er"
{,r-c,',,ryg.t 4\(
tr grnroom (SF) _
3 Geenhoue ($)
D Detcnrue(SD_
tr tud (SF)-
tr Deck ($) _
tr frrch(S)
D gorage $ed (SF)
tr Oher ($)
L
lsthe proposed work dangng the exiding footprint? 0 Ves g/No
TCTTALQFTUNOBFmF(forpropo€edw.O **rr*,Jt, f I - Unneaed:-i ft O
rorALPrc.ECrGr(EsLot): $- -l n1 t I U0
ls the propo€ed work changing the number of'b"or*rnsu O v.s O/nfo
lsany Eedrical, Flumbing or M€dlanical work being done to lhe Aoes6ory 9rudure tr Yes
o voo4 /No
the arrrent $te?
nhous
DS.AJM ER I fEreby Grtify that dl the informdion in t hls applicat ion is corred snd dt work wltt comply wil h t he Sate BJltding Gde ard aI other apptidte gae and toca)la$,/s and o.dinarc€ 4d regulstions Th€ Nt-C Oevdopmnl &r\,icB Gr(er wi be notilled of any d nges in lhe appro\€d plans ald sp€dficd iorc or dlaEe in contradorirforrnd ion. "'tlolE Ary work p€.rorrn€d wit willbein viold
3^dF hut QE-leDropride permhs
h,o^J.4/-
lsthe property
Biging lmpervious Area: _q R
NewtmperviousAro ZfB qa
ion ofthe NCgde BdgOde d srbjed 10 fines up to S'5OO O0,'
Sgnaure
An$ing Land Eli$urbing Fermit: D Yes tr No
WAIER ,gf 9mlq f: Ommunity q/Sern O fri\rate t Ht tr entrail Eii tr Aqua
SA/ER 1E/CFFIA tr Ommunity q/dern tr Rivdesptic tr entrai $ptic tr Aqua
bne: _ Off ioer: _ gtbacks (F) _ (LH) _ (+0 _ (B) _
Approval; _ Oty:_ Date:_ Foodj (A)_M_(N)_EFEi2ft=_
o
"./
Ormment rermit fue:
j1
D Yes
ftoperty L,sd Snole ktr*lv n- H,'*t
D Yes t/
Total AaresBsurbed: L '{
NEWHANOVERCOUNTY
DEPARTMENT OF BTIILDINC SAFETY
230 GOVERNMENT CENTER DRIVE - ST'ITE I7O
WILMINGTON, NORTI{ CAROLINA 28403
Telephone: 910.798.7308 Fax 910.798.7811
Internef www.nhcgov.com
Printed Name DateSignature
.1.j,-T-\:'.
(ffij 6t L!
REGULAR RESIDENTIAL BUILDING APPLICATION
STATEMENT OF UNDERSTANDING
l, am submitting an application for a residential
building permit to Non Hanover County. And, as the applicant or person submifting
the application, I check the box/boxes below to acknowledge that:
dt AiAfi. a$acn an official CFPUA document that acknowledged approval of
the payment made to CFPUA.
tr I did not attach an ofiicial proof of a Zoning sign-ofifrom the City of
Wilmington, for this work that will be done in the City of \Mlmington.
tl I did not attach an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
And because I did not attach the official proof of approvals along with my
application for permit; New Hanover County cannot guarantee that the building
permit will be issued within 4 (four) to 7 (seven) working days after the official
submittal date/time (the stamped date/time notation made by the Buildlng Safety
Department on the application or submittal document)
Signed in acknowledgment:
-tAddress for the proposed residentialwork' t
--=-_=
ffiffi*F
,t;--l..,
r:ffi",
_ot7 _ tf gAo
+8=Ft22\NErV I-IA}IoIR @UNTY zuII.DI{G PSM IT
AFRIOA]IOAI TY?E FEIDE{NAL
REASEAISA/AA& AUESIIOISAFHJOABEIO\(I.R FFo'ET'ftoied EsporEibilit)/
r)
Application
utrrnbea
use)
AffiJcA rrsMME-3.rtt oS Oat e'
Zt
qto ?6 v
PRO.ESIAMR6S
SJBDVISON:
PFOFEFryO\ANERSMME
qANERSADDRES
@a{TmcroR
ADDFESS
EMA]LADDRSS
P&EI@l.IIACl'PEFSN:
L l{
os*r tJic."PI-DNE{5
ol h.
OTY: LJ, I rar zP. ZY9t I
LfulucalsE
OTY UJ.
FHot{E "1/t PIIONIE
D0SnNG O,ISIFIJCIION: O Aterdion tr Fbnovation D C€neral Fbpairs
NMTCONSIRUOIOt tr Eed f,la,v Fuldence E Addition to Biging Ftsddenoe tr FHocation
-'. REASEOIm( AND ANS /B BA-O/V AtI ]MTAPPLYTO \OUR PRO.tr'"
{tto',ry<*-l 4\Y n Det Geraoe (SF)E fordr ($)
tr $nroom (sF)- o hol(s)-
O Geenhous($) tr Deck (g)_
lsthe propoed work $arEing the ad$ingfootprint? n fe. g/tlo -
TOrAL S Ff UNDER ROOF (for propo€ad work) lleatd:_..__r- _ Unheated:
'llCTAL PFo.Er Gr (tB-s Lot): $_./lsthe proposd work dtanlirE the nurnber of b€droorn9 tr Yes Cf No
dr.w
DS.AIM ER I tEreby aertity thd dltfte irrorrdion in t hi3 appli€t ion is coned and dlworkwill cornply with the gAe BJilding Ode ad dl ottEr +dl€&le gde ald lod
lar6 ad qdinaEes gld reguld ions lhe Nrc DeldopnErt $vices Gr(€f will be nolified o,f any dlanges in the epro\cd pl s ad Cedficdlons or daEe in cDalrdor
in ormd ion. "'llolE Ary work p€rforrned ,riit
ttlL
E gorage Shed (SF)
D oher ($;
_ft)_
3dr tnrn Ue {progiae psmith^"Il/"s v/i ll be in viold ioo of tt€ l.Jc Sde Bdg 6de ard $bjed to fines up to $500.0Cr ''
Sgnature:
Bre \\ "'H#\9
a floodplain? O Yes trl.lolsthe property located in
Totat Acresosurbed - ,llBi$ing Impervious fuea:qR
New lmporviousArea:2t9 qR &iding Land Di$urbing Permit; tr Yes D No
Wafm g/CFRJA E Ommunity q/s€rn O Ftivate Vlbll tr entrar \ E tr Aqua
Snm rAlCfnn tr Ommunity qdem O ftivate Sptic tr Gntral$ptic D &ua
bnei. _ Officer:
-
$tbacks (D
-
(Ll-|
-
(Rl-l) _(B) _
Approval: _ Oty: _ Date: _ Bood: (A) _ M _ (N) _ BFE+2ft=_
ri-,a
6mment Fermit Fee: $
I
I
O Yes
Roperty Usd
t0
\0}1
NEWI{ANOVERCOI.]NTY
DEPARTMENT OF BI'ILDINC SATETY
230 GOVERNMENT CENTER DRJVE - SUITE 170
WILMINGTON, NORTI{CAROLINA 28403
Telephone: 910.798.7308 Fax 910.798.781 1
lnternet www.nhcgovcom
Signature Printed Name Date
u& //q
REGULAR RESIDENTIAL B UTLDING APPLICATION
STATEMENT OF UNDERSTANDING
t,am submitting an application for a residential
building pefmit to Nanr Hanover County. And, as the applicant or person subm itting
the application, I check the boxlboxes below to acknowledge that:
d t Oia #attacn an official CFPUA document that acknowledged approval of
the payment made to CFPUA.
E I did not attach an official proof of a Zoning sign-offfrom the City of
Vllilmington, for this work that will be done in the City of \Mlmington'
tr I did not attach an official proof of an approvalgranted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
And because I did not attach the official proof of approvals along with my
application for permit; New Hanover County cannot guarantee that the building
permit will be issued within 4 (four) to 7 (seven) working days after the official
submittal date/time (the stamped date/time notation made by the Building Safety
Department on the application or submittal document)
Signed in acknowledgment:
ffiW,fr-
1Addrcgg for the pnoposed rssidentlal work'I t,I2-{- fi t flrLJ@
,J/'RECEIVEDt'lAY02mil8 LO/8 - IZoS
Clsar Form
APPLICAiITS [{AME! Ocaan Blue Pools and SDas of NC
Prlnt oMail
NEW HANOVER COUNTY BUILDING PERMIT
APPUCA1ON TYPE: RESIDENfl AL
PLEASE ANsWER AI,I QU€STIONS APPLICABII TO YOUR PROJECT
"Proiect Rerponslbllty
/ai -:-.I -,i_-i
',ffi,"Applt(ztioh
t{umbcr
(ofic. usc)
D.tet 5l2li20'18
PROJECTADDRESST 917 Shefield Drive CITY:ztP: 28411
susDtvlstoN : Brittrnv W.l.)ris
PROPERTY OWNER'5 NAMEI Arlrm & .lennifar T"rnar PHO E t: 91&S0-2176
OWNER'S ADDRESS:917 Sheffialrl Drive OTY: Wlmington 2l?:28411
PROJECT CONTACT PERSON:PHoNE: 910-799-3022
EXJSnNG CONSTRUCnON: E Alteration D Renovation E Geoeral Repai6
tlEvl, CONSTRUCnON; E Erect Nel.v Resldence E Addition to Existing Residence E Relocation
...PI.EASE O{EO( AND AT{sWER BEIOW AII NiAT APPTY TO YOUR INOJECT..'
tr Att Garage (SF)_E Det GaraSe (5F)_
tr Sunroom (SF)!(Pod(sF)608
E Greenhouse (SF) _E:Deck (sF)2??
ls the proposed work dlanglns the exlstlng footprint? tr Ves ( Ho
TOTAI Sq Ff UNDER ROOF Aor proposed wotk) Heatedr Unheated:
TOTAL PROECT COST (tess Lot): S43.980.00
ls the proposed work changinS the number of bGdrooms? n vcs$ m
ls any Elect icel Plumlint or Mcdr.nicel wort being done to the Accessory Stnrcture El ys O o
lf the proiect is a Relocadon, is there a Natural Gas Une on the currcnt she? E Vcr 5l.lo
ls there Elestrical Power on this Building? Iq YG. El tlo
Proparty t se/ Ocarpancy:1(Strde famly tr Dupl.r tr TorDhousc
h&r,iili^- ^a tlr-L.
lnstall a 38'x 16'inomrrnd fihe lass oool with 232 so feet of concrote de.lin.,
lnfotmet on. "'NOTE: Any wo* pc.formd $$tour d|!.pproprla! p.rmltr wlll bG ln vbLthn of th! l{C st.t 8ld! qed. .rd srb]Gtt to fin6 llp to Ssm.m...
Ownar/Crntractor; K6vln Dunne Sltnatl-Ljc'ns.dQwtrie,_ ,,int,orne :'ffii"fi;fr(r"*"'
A.ls the property located in a iloodplain? E Y6
Exisdng lmpervlous Aree: 2200_ Sq Ft Total Aqes Disturbed:0
New lmpervio us Arca| 232 Sq Ft Exlsting Land Dlstsrblng Permit E Yes D No
WATER: R CFPUA EI Communitysystem tr Private Well D Centralwell D Aqua
SEWER: (CFPUA E Community System E Prlvate Septlc fl Centralseptl€ fl Aqua
Zone: _ Officer: _ Se back(Fl_(tHl_(RHl_(B)_
Approval: _ Otyr _ Date: _ rbod: (Al _ (vl _ (Nl _ BFE+2ft. _
Comment:Permit Fee: S
UrT *: 250
COI{TRACTOR: Ocean Blue Pools and Soas of NC BLDG UCEI{SE f:73760
ADDRESS; 30 C,ovil Avenue OW: Wlmington ST: !Q_ ZIP: 28403
EMAIL ADDRESS: ocaanhluewilmingt^n1@gmail com PHONE:9LE299i(2__
tr Pordr (SR_
E Storde shed (sF)
-
tr fther (sF) _
I
,p
NEW HANOVER COUNTY BUII"DING PERMIT
AP PLtUflO N |YPE; RESI DENTIA!
Pl.tASt ANslVrR ALLQr]fSrONS APPUCABTt lO YOUR Pn0lr.Cr
"Prore.t ncrponslbllir/'
zo{l-r8r7
l"t - ty?
APPtlcANfs NAME: JASON WALKER Oate:30 APRiL 2018
PRortcr ADDR€ss: 4125 DONNELLY LANE _--- clTYr UlUblqIgN*_ zlPlggl_
s u B0 lvrs I o N i MA$Q-NqQBa!_Gl_l -P_UllI TION
CONTRACTOR CAROLINA CREATIONS LANDSCAPE INC SLDG LICENSE S
ADDRESS, PO BOX 2327 clrv:qHALLO.IIE - sr:9 ztP:?!asg
PHoNE: 910-75534'11EMAIt AD0Rtss: JWALKER@CARQLINACREAIIAXSEIZ
PRO.,TCI CONTACI PERSON JASON WAI-KfR PtIONE: 910-,/55441'1
IXISTING CONSIRUCLONi [: Alteration [: Rcnovation n 6cneral Repairs
NEI,Y CONSIRUCTION f Erect \ew tlesidenre -i Addition to Existing Resldencp O Srlo.ation
..TPLIAST CHECK AND AN9WTR EEIOW AtI. IHAI APPTY ]O YOUR PRO.,ICT"'
fl An Garage (SF)
. Sunroom IsF) __
-l G.eenhou5e (SF)
-
B Dct GaraSe (5F) _O Porrh ISF)
M orhPr (sF)Wg uncrttt
1:ct,l t
,1tr Pool(s r)340 Ll storaSc Shed 15F)---
T 0eck ISF),nolro
l5 the proposed wo'k changint the existing footprinl? n Yes -l No
IOTAI Sq FT UNDER ROOI Uo. proposed wotk)Healed:0 Unhoated:0
IOTA! PROTECI COSI (Less Lot): $U-QZ!-9O _.-_ .
ls the proposed work rhantrnB lhe number of bedrooms? f: Yes L No
Ir any Electrlaal, PlurnblnS or Meahanlcal wort beinS done to the Acaessory Strrr(tLre I Yes
If thc p.oje(t ii a Relo<allon, rs thcre a Nrtuaal Gas Line on the currenl slt6? -l Yes I No
ls there Electrical Power on lhis Suldin6? I Yes ti No
property Us€/ oc(upan.y: 8. Sln|le famlly f Dunlex : Fownhouse
0€s.rlptlon o, Worki
lnstall 14'x30' 6berqlass pool,d 8'dia sDa. 985sf ot concrete oool p{Lo- qtuf gltaslq.nc p?t!, 170'of poolcodB f€ncina
bw, ando:dn,r4.!r )nd r!6!l.liollr.Ilr! NBC oevelrp4rc|l sr,vk rr CcnleBil br.olli€d olr.7(hrfgo! n lh. approvedpta.r..d rpr.ill(dllonr o, (hi.t. ln ronr.z(r.r
inlolnilj(Y "rNOi! A^V wrrk a{rio"rld erllroul llr! i rmlG w,llbe ln iolliro. ol tic NCSratc8liaiode rnd tuble(( ro llne, u0l! 550! t)(r"'
t. No
Ownar/Contractor lsn
lrthopropertylo.rtedrnalloodplarn? ! Yer I No
fuirling l.llperviou3 A.ca:5275 Sq Ft
New l.nFervlols Arefl fpz?_ sq ft
Iolal Aarci Olsturbcd: 0
Existing Land Dlsturbl.g Permlt: n Yer -l No
WAIER: Il CFPUA _ CommunitySyitem O Private Wrll f CeolralWell n Aqua
stwEqi E
2","'L.16
CIPUA [j CommunitySyst.nl : PrivateSeptic : CentralSeplic n Aqua
olttcer .ff(l1z -(rH) t0/ {an) lol {s) lo/
d: (A)
-
(v) _-, (N)-X*fl{b.ct SfE+2hn
/) / eermitEee: $
Approvali -cry, lqr4
Comment
r a*o(5td<proTerl lt'ne
ii;:' inspttron riequrreo, I i 0"25q.0{tirt
LOtrr20
pRopEfiry owNrn's NAME: SALVA"|-9RE LUCTDO _.____.- pHoNE fr631-495-7767
owNEE']S AODRESS:4125 DONNELLY LANE _ -_..__ _-_ ___ Clly: WILI! NGIO]L__ Ztp 28409
l
^)t1 rfl YSzr
Appllcatlon
{ofice use}
NEW HANOVER COUNTY BUITDING PERMIT
AP PLICATION TYPE : RESI DENTIAI
PLEAST ANSWER ALL QUESNONS APPTICABU TO YOUR PROJECT
'?roiect Respondbllif
aPPLlcANfs NAME: JASON WALKER Dater 30 APRIL 2018
PROJEcT ADDRESS: 4125 DONNELLY LANE
suBotvlsloN: MASONBOROUGH PLANTATION
CITY: WLMINGTON zl 28/.09
PROJEcI CONTACT PERSONT .IASON WAI KER PHoNE: 910-755€411
EXISnNG CONSTRUCIION: E Alteration E Renovation D General Repairs
NBMONSIRUCrION; E Erect New Residence E Addition to Existing Residence E Relocation
r.+PLEAsE CHECK AND ANSWER BELOW ALI. THAT APPLY TO YOUR PROJECTI"
E Att Garage (SF)_
E Sunroom (50
-
D Greenhouse (sF) _
E Det Garage (SF)_
JEI Pool (sF)
tr Deck (SFl
E Stora8e Shed (SF)_
E! otne, $rl %5{ epncrde fool
t Gult d
tr Porch (SF)
340
ls the proposed work changing the existing footprint? E Yes ! No
TOTAL Sq FT UNDER ROOF Vot ptoposed wotkl H€ated:0 Unheated: 0
TOTAL PROJECT COST (Less Lot): S54 675.00
ls the proposed work changing the nu mber of bed rooms? tr Yes E[ No
ls any Electrical, Plumbing or Mechanlcal work being done to the Accessory Structure [l, Yes [: No
lftheprojectisaRelo€atlon,isthereaNaturalGasLineonthecurrentsite?DYest3No
Isthere Electrical Power on this Building? ! Yes g l.lo
Property LJsB/ Occupancy: $ ilngle Famlly E Duplex tr Townhouse
Descrlptlon of Work:
lnstall 14'x30' fiberqlass oool. M 8' dia soa. 985sf ol concrete Dool patio. 87sf of flaqstone oath. 170' of Dool code fencino
laws and ordinances and regulatlons. The NHC Oevelopment S€rvlces Center wlll be notified of any changes h the approved plans and specifi (atlons or change In contmctor
Informatlon .r.NOIE:Any work p€rlormed wlthoutthe a of lhe Nc state Sldg code and subiect to flnes up to 9500.m...
ure;own€r/contractor:
'Llcensed Qudlnef
lsthepropertylocated in a floodplain? tr Yes E No
ExininS lmpeMous Area: 5275 Sq Ft Tqtal Acres Dlsturb€d; 0
New lmperviousArea: 1072 Sq Ft Existing Land Disturbing Permie E Yes tr No
WATER: E! CTPUA E Communitysystem E Private Well fl Centralwell E Aqua
SEWER: !l CfPUA E Communitysystem E Private Septic E Cenrralseptic tr Aqua
Officer: _ setbacks (F)_ (LH) _ (RH) _ (B) _
.Approval: _ Clty: _ Dater _ Flood:{A}_(V)_(N}_8tE+2ft=_
Comment:Permit Feer S
LOT #r20
PROPERTY OWNER's ruATUE: SALVATORE LUCIDO PHONE S:631495-7767 .-
OWNER'S ADDRESS: 4125 DONNELLY LANE CITY: WILMINGTON ZTP:28409
CONTRACIOR, EIDG LICENSE #'73r oq
ADDRESS; PO BOX 2327 crTY: SHALLOTTE sr: Nq zrP:28459
EMAILADDRESS: JWALKER@CAROLINACREATIONS.BIZ PHoNE:9L97E5S4ll__
/
Zone: )\1s
@
NEbI HAIIOVER COIJ]IITY BUILDING PERHIT
APPI.'CATI,flI TyPE.. RESIDIEITITIAL
PLEIS€ AISIER ALL qLEsEOs APPI.ICAALE TO }IX.,R PiO]ECT
'Project ResPonsrhr r ltr
Lot6 - 4qSs
APPLICITIO{
ittnber
(OFflG. trsc)
;-v-r6APPLICTT{T's MHE I
DEVELOPER:
7.,t tl-4 /\4
PRO]ECT ADMESS:
SLTDTVISIOiI:
DATE:
pH(xE *: 7lL ql7f
L9 CITY: T,
PRoPERTY olNllER,s MIitE: 0N,J L/JaOI/i /14{t&7 loJ
OO.TIER's ADDftEss:5At4 ('CITY
API
BLOC( t: LOT t: _
)I
COiITRACTOR :
ADDRESS:
ZJ ,5nnl LrcEsE *, 6CUtr0 AC@t uT *:L,
PlpirE *: LJL LlL /YJ)
ST: _ z!P:_
sr,LtlVpl@N
PHoNE $: 7 tt- '?Llf
PlulE *: fuO ,[>?
zrrlw sf CITY:l^lL!'\
EI'IAILADDRESS:,24iT',1 O /,,/ hn/l 4tzf .Utr
5UNR0q'1 SF
/).)(
rsrnE co6ltl,crroir: f] alremrrou f namrroN fl ceNenr REpArRs If RELocArroN
NEIJ cor{srBlrTroa{: f} rnecr Elt RESIDETf,E o. fl emrrror T0 tsTrffi RE5TDE CE
.'PLEASE CHBC( IiD AIEIER BELd ALL I}UIT APPLY ?O Y(IJT PTO:ECT!
I arr clmree _ sF f! orr enuse sr E poas -Q-srE poor- _ sr f] sronaee SHED _ sFI enreuc;se _ sr I oecr SF OTHER:SF
rorAt HEATED qFr. Oh TorAL se Fr uNDER w. 14/6 rorAL AREA Wr: Lll\
TOTAL pROJEgr COST G61.0 ' $ llrdo a * OF STORIES:
rs any ELEcTtrcrrL, PtJIiErre or rE(luftcll- rbrk B.lng DorE to the Acc.rsory strlrcture? p V"a ft f,fo
If the project is a Relocation, is there a Natural Gas Line on the curr.ent sitef f,ves f] xo
Is there Electrical Pouer on this Building? trYes I Ho
pRoDERTy llsE / ocG,rpAlfi: !f, srrcr-r remrr-v ! ryrr-ex
DEscnrpEo.r oF hloRx: /Z(Vounlf tZ tSi t.tb
l--''l ro,q'rous: ^-A-t^,t l'r*ct/ - i"tctog$l
'EI
olScLAltERrnelDDycofiith.rarnb.m.tl)htli6.pplcaihbc€nrc'r$dlJlvprkx.ll..alPlywl$tlcSlEAildhgcode
a1d odharG &d letuialiona The NHC DawlopriEnt Sorvias CaaEr will b6 a}oni.d ol 'ly ctlsrlB in he spprov€d pbns 'lc.onreb. inbrmlio.. "ltOTEr Aay Work P<torm.d W,lO fio App,oprfitb P€.rniE wll b. ir \nobti..l ot tre NC Sts- Adg Code
o,flER/@NTRACToR: orlLg 4L5a.,t1147 5I6i{ATURE:
*.* i*:. *r*ir * r:* * *r**. n* * * *(IHl Ji?]:! * 'l '*::* **+ *:***+*:r ++
rs rHE pRopERTy LocrrED rlr A FLmDILAT ? l-'l yEs & to
rh o SsOC.@-
++l++*++**+*+++***+**t*,j:****:|****.
TOTAL ACRES DISTURBED: n
E(IST LAiD DIS'T.IRBI G PER'{TTI fl vrs fl no
MrER: fi cras E cof{,Nrry svsrer I pRrvATE IELL El cannal uar-l
sanrn: fl crnra I cENTRAL sEpnc f] cn:vnrt sEprrc E cofiJrurry sysrE]t
r.' SeTAeatE pER'i:TS iEQUISED FOt ELECT, xECHr pLE6, 6A5 Egtlp, PREFABS & ITSERTS .-.
pAYfiE[r 6ErHoo: Ecsx E crco< (payaBLE ro mrl filrrrr rccorrr I rrcf,/'tsr I orscovrtt*tlaat'*'t*t't:|*,ra3+a*aaat*tl,taatrraaaaa+aaaal.arataataa!itrarrra*tnttt********trtaaaaaaaaa:p
"go'n, ro' nt:lo a:7R
tSTIliG IfiPERWqE AREA: _SQ FT
NE}I IfiPEM,I(tE AREA:
-SQ
FT
,*r, [-tS oFFrcER:
lpprovat; OF city , lut4
ETBAd
ERHIT FEE:85,oo
(foa ofFtct usl dL
CKs: F:
ltflttsED D la C4/71/12
)< BFE+2ft=
4rq\lC.ofltpnt:
F, <x '*'t n4.,
FLO@;
Ciii' lnsp',ciron REurreo, 9i 0-25q.09fi l
Aa.s . AA/L
pRorEcr cor{TAcr pEt€tr/* 2/2 cE 4l3L'cAf
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE; RESIDENTIAL
PLEASE AXS!{ER ALI QUESIIONS APPLICASTE TO YOUR PRO]ECT
(--\
\:ii.l APPLI CATION
Number
(office Use)
APPLICANT'S NAI{E:l€,'-ien l\
Project Res pons ibility"
CITY:
DAIE :,r-a 6>d
ZIP:/)
DEVELOPER:
PRO]ECT ADD
SUBDIVISION
CONTRACTOR
ADDRESS:
RESS:
PHONE #
PROPERTY OWNER, S
OWNER'S AODRESS:
Nfl'E:
SLOCK S:LOT S:
PHONE f: ti
crry: t i a- ).^ . *-2,t .sr: [(.zrc :
?R>',i€r..3
r8r'-<-alr
B t^
o.<2 (
'r i- &.. ( c-.-
LICENSE f,:-76-o?,r,&!er,,RIzad
_r-r.e-
ETIAIL ADDRESS:L PHONE $:
PHONE S:{20* 3 \*}dPROJECT CONTACT PERSON:Jo,^".JA L^:21.....6 ^c 4.,-C-^
EXISTING COI{STRUCTION:A LTE RATION R ENOVATION GENEfiAL REPAIRS RE LOCATION
NEl,', CONSTRUCTION:RECT NE}I RESIDENCE oT ADDITION IO EXISTING RESIDENC E
.*PUASE CHECK AIID ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
f,ol oo*o, 6q Q sr I orr oaRnce
-
sF
)2b,n-b t sr Lc. ^c^ ',
s
t
suNRooM _ 5F
GREENHOUSE 5F
POOL
DECK
SF
POR CH
STORAGE SHED 5F
SF q oD.;145Fr oinrt?a4
TOTAL HEATED SQ FT:o t-{TOTAL
TOTAL PROIECT C05Tlressror) : $]o .r c,t) # 0F SToRIES:
rs Any ELEcrRrcAL, PLUIIBTNG or ECHANTCAL l.,Jork Eeing Done to the Accessory structune? [ v"s I no
PROPERTY USE / OCCUPANCY:SINGLE FAMILY DUPLEX
S)
TOWNHOUSE
Ete
sQ Fr UNDER *oor,ir'l€ #offio ,o ,r,
DESCRIPTION OF WORK:-€V,C?Jo-, c
(^l
DISCLAIMER: lhercby c€nit illat sll informalion in flis applical,on is corect and allwork wirlcomplywih he Sr,ate Buihinq Code and altoher licabl6 Slate and local lawsand odln€ncas 8nd rsgulalbns. Th6 NHC Devslopmenl Servicos C€nter wil bo notili€d olanychanges in ho approvsd ptans and € r,!-€ont2rriJT-dl-conrracror lnbrmaiton. '-NOTE:Any Wgrk Performod W/O ule Apprcpriars p€.mrls wr,t be
owNER/Cot{TRAcToR: J -- co-e ), -C *. L-..
EXISTING II4PERVIOUS AREA:
NEW IIIPERVIOUS ARE
lL]l(Go,,
\Ttrt'i*
s Up To $s00 00"'
*,*+ * )t * *,*,t **,t,* *,i,r * )t * * )t *
BF E+2ft=
in Violalion ol the NC Srate Etdg
SIGNATURE
,r,r r + r * r *,r )r * )r * :l )r * *' * * * * * * * * *(il'll Jil"J * * * * * * * * * * * * *, * *EIS IHE PROPERTY LOCATED IN A FLOODPLAIN?YES
TOTAL ACRES OISTURBED:{
EXrST LAND DTSTURBTNG prnr,rtt: Fl yEs n No
WATER :
SEWER :CFPUA ! cerurnar sEprrc E pRrvATE sEprrc ! coluurururw svsrrr.r
.*i SEPARATE PERMITS REQUIRED FOR ELECT, IiECT], PLB6, 6A5 EQUIP, PREFABS & INSENTs i+'
pay Er,rr rErHoD: !crsn lcxecK (pAyaBLE ro NHc) EA ERr.on .io.ri, E r./rrro ! orscoven*,*,t**+*+*+*,f***)t*,t)tt)t,t,t,t**,t***,**)t,i)kr*,*+,i,t*,f)i,i*****,t*****,**,i*!i*,*,*,**,i,t+,f*****,t,**,r,*,f:r)i,i,i*,t,t(*
ZONE: _ oFFICER:
(FOR ofFICE USt oNtY) nEvrsED oATE o4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ FLOOD: _
Corment :
CF A COT1MUNITY SYSTEM PRIVAIE WELL I crrurRnl we rl
N
PERMIT FEE: $".(g.oa--
lo6 - qqsg
CITY:
rf the pnoject is a Relocation, is there a Natunal Gas Line on the cunnent site? [ ves I lloIs there Electrical Power on this Building?f]v"s l-l rvo
^r,.r- l5!:rElvED flAR 0 g ?0f,
NTW HANOVER COU]'ITY BUITDING PERMIT
A P PLTCATiON WPE t RESTDEI{r lAl
PIEASE ANSWEN ATI, QUESTIOTS APPIICASIE IO VOUS PROJECT,Prolect Rerponrlblllty"
{)
7pt6-\q3L
Uat.s"r- t{((i\I
\(tAPPTICANT'5 NAI\4TI
sugDtvtSroN:
R 1Lr.__ -__ PHOff [r t f L]-1 -cq ry
i:.1;1
!\r I
I'.qoruFIY OWNER'S NAMEI
(-i
---*_.*, _._-_ cnY:
CONTRACI OR Slviv'i i(-r'i.v1\r -_- SLDGi UCC SE f:{Ll5 ,)
AoDntss: !'
P,operty U53/
Drscrlptloo of
') ir . \. ),1.'...t' ,i 'it5Trtl
,,ROITCT CC8{TACT PTBSON:L.
EXISIING CONSInUCTION! E Aheration [-: Benovation [J General Repairs
Nftl, C(}{lSInI,cIloN: C €rect Ne\.r ltesidence f Addirlon to Existlng Residence :l Rclocation
""pu sE gHEcK aNp Ar$swGl BEt ol, Au THA' tppt y To y(xr[ pRor[qxr*
E Att GataSe lsF)
-._-
E Dct Grr!8! 6F) _-- tri porch {sF)----
)(roor{sr)[: Snrrroom ISF) - -__-.-_
D Grecnhouse (SFi-.___.
31b
l-,1 Deck (5f)
l--l Stor"se Shed lsfl
p o*ertsn.,32d_.
l5 the proposed v/ork chanBinE the exlstlng footprtnt? [:] Yes il No
TOTAT SQ CT UNOER AOOF lfot proposed vork) He.tcdi ulrhcBtedi
TOTAI. PflOIECT COST (Less Loll: S
h the proposed lvork chanBlng tlle numbelof bedroonts? fll Yes IJ ttto
lsa0ygectrlcal,PhrmblrEorMcrh.rkrlworkbeingdonetotheAccessoryStructure[]VecDtto
lf the p(olect la a iabcatloo,ls th.re a Nrtural Gss Llneon the cwtrnt slte? rJ Yfi fl No
ls there Electrlcal Pow€r on th,s Bulldlng? E yes Cl fo
Occupancy:fi smgb Pamlly l] ttuplex Ll lownhouse
Work:
- i.., "I D . t.;-a)/ i fr. r..i\- \ ./. <r,.
Ots((Alt{tfi: I herabycertify lhat alithe m{oxnatlon ln this appllcation is (orl€ct anrlallleorl( v,ilt(
la\!r ar)!l o(l;|l.n( e! and reSo'atlonr, Tite l\lIf Urrslopmenr SEr !,cer [entcr y..ll! b! notir:ed D, n'ly
in,roxl) atiolt, ' -'ilOT[: ,1oy !.rork pe ormed r/;thor[thr approDrjate D?i rlta r,;ll be lrl v:ohtlon ot
ofipq rvth the State Btli'dii8Codcand atloihar appli(.blEStat6 a.d to(at
cirriSar ln thpapproyEd olanr end spiaiifitions or ahenge ti contr;r lor
thefiCSlate 0ld8 Code.fld !ubl€([o l,rc5 uplo S5C0 C{...
a
Owri.r/Cont.e.tor:ghnature:
'Iof al Acres Oliturl,€d:
\.i
New lmren loui Are6: Sq Pt E rtrtln! Lrnd Dbhrrbku Parmle E yec E No\ ---'- ''-'
titlT[Rr )l ctpuA n coriln\nity Syrtenr lil private V(cll fj Centralwcll ft AqIa
$EwFlr: -.ti Cf|lr\ Li Lomrtlr.nity Systern ii privatcseptic [f Celtralseptic t] Aqr,a
Zoner._____ Of,ks? _- Setbr.L. (f) _ -._{lH}_{Flt,_-. _{8)___
Approv,rl:. - .. f,ltyi.-_..-. t ster.-_ ._. floodr(A) _-_.{V).-.__._(il)."-. .-- ofE+Zft3--_,,s'*
t
qf)i
4
&.{5b,ccq
NEW HANOVER COUNW BUILDING PERMIT
APP LICATION TYP E : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICASLE TO YOUR PROJECT
"Projed Responsibility"
20tb -Lls( 318-1484
Application
Number
(ofiice use)
AppltcANr,s NAME. Bill clark Homes of wilmington, LLc o"t", =/tol\bPROIECT ADDRESS:TAor-t LqV(=rdc Ctr lrtL CtTy. Wilmington ztP ol
suBDrvrsroN:ttz,rnov 6- LctYL\LOT #: -l a
pROpERTy oWNER,5 11419E. Bill Clark Homes of Wilmington, LLC
OWNER,S ADDRESS. 127 Racine Drive, Suite 201
ps611s s. 910.350.1744
CtTY. Wilmington ztP. 28403
CoNTRACTOR: Bill Clark Homes of Wilmington, LLC g1p6 u661,15s s 34586
ADDRESS: 127 Racine Drive, Suite 20'l Ctry. Wilmington sr. NC ztP.28403
EMAIL ADDRESS: cbain@billclarkhomes.com p11g1r1g. 910.350.1744
pROJEcT coNTACT pgp5gp. Courtney Bain PHoNE.910.350.1744
! Greenhouse (SF)E other (sF)Tqho'l2a
ls the proposed work changing the existing footprint? D Yes E No
TOTAT Sq FT UNDERROOF Uor prcposed workl Heated: Ln 12-unheated; q2=
TOTAT PROJECT COST (Less Lot): S
lsthe proposed work changingthe number of bedrooms? E yes El No
ls any Electrlcal, Plumbing or Mechanical work beinS done to the Accessory Structure E yes E No
lftheproiectisa Relocation, istherea Natural Gas Line on the current site? E Ves E No
ls there Electrical Power on this Building? E Yes E No
laws and otdinances and regulations. Th€ NHc Development Services center will be notified ofany chanSes in the approved plans and specifications or change in contractor
information. "'NOTE: Any work pet{ormed without the appropriate permit5 will be in violation of the NC Srat€ Bldg Code and subject to fines up to S50O.0O...
Owner/Contractor: Courtney Bain Signature
"Licensed Quolilier" Print Nome
lsthepropertylocatedinafloodplain? O Yes E No
Existing lmpervious Area:
-
SqFt
Existing Land Disturbint Permit: E Yes 0--ruo
WATER: E CFPUA tr Community System fl private Well E Central Well E Aqua
S€WER: E CFPUA tr Community System E Privat€ Septic E Centralseptic E Aqua
Zone: _ Officer: _ Setbacks {F} _ (tH} _ (RH} _ (B} _
Approval:
-
City:
-
Date:
-
Floodr (A)
-
(Vl
-
(N) BFE+2ft=_
TotalAcres Disturbed:Z
Comment: permit Fee: $)(t7,'u
_j
rl'-:flt,
flB'
EXISTING CONSTRUCTION: D Alteration ! Renovation ! General Repairs
NEW CONSTRUCTION: E Erect New Residence D Addition to Existing Residence ! Relocation
**.PLEASE CHEcK ANp ANSWER BELOW ALL THAT Apply TO YOUR PROJEcT*** frO"\| - 26E att earage (sr1 ?35 [ Detcarase(sF)_ = porcrr tsrt iAVfird- lt5
I Sunroom (SF)_ ! pool (SF)_ E Storage shed (St)_
E Deck (SF)_
Property Use/ occupancy: E Single tamily E Duplex El Townhouse
Description of Work: new construction of single family residence
New lmpervious Are a, 4.41 sq rt
\+ L-13
NEW HANOVER COTINTY
DEPARTMENT OF BUILDINC SAFETY
230 GOVERNMENT CENTER DRIVE . SUITE 170
WILMINGTON, NORTH CAROLINA 28403
Telephone: 910.798.7308 Fax: 910.798.781 I
Intemet : www.nhcgov. com
4TO7 WORKING DAYS TURNAROUND TIME (FAST TRACK)
FOR NEW SINGLE FAMILY RESIDENTIAL
STATEMENT OF UNDERSTANDING
Courtney Bain for Bill Clark Homes of Wilmington am submitting an application for a new residential
construction building permit to New Hanover County. And, as the applicant or person
submitting the application, I check the box/boxes below to acknowledge that:
I have attached an official CFPUA document that has
acknowledged an approval of the payment made to CFPUA.
t\h* I have attached an official proof of a Zoning sign-off from the City of
Wilmington, for this work that will be done in the City of Wilmington.
5\S- I have attached an official proof of an approval granted by the New Hanover
County Environmental Health Department, for this work that requires an approval
from Environmental Health.
!f the application is correct and complete with the required drawings, and if
there are no corrections or revisions to plans and drawings, and if there are no
further clarifications required by New Hanover County; New Hanover County
can guarantee that the building permit will be issued within 4 (four) to 7 (seven)
working days after the officia! submittal date/time (the stamped date/time
notation made by the Building Safety Department on the application or submiftal
document). I understand that the 4 (four) to 7 (seven) working days only begins
when the aDDlication is ub mitted orior to 4:30 pm on any working-day.
Signed in acknowledgment:
Courtney Bain -IO
Signature Printed Name Date
Address for the proposed residential work:L<tro La*-cgdu ( Vcl()
NIY.
1
i
7
\plK -'t?(t (
NEtil HANOVER COUNTY BUILDING PERMIT
APPLICATION rrPE: COIi'IMERCIAL
PLEASE ANSUER ALL qJESTIOII' APPL]CABLE TO YOUR PRO]ECT
"Project ResPonsibility"
C-..,+"*tU.DATE:
PHONE *:q1C '4I zgLltl
g
C.APPLICANT, S },IA}IE :
DEVELOPER:
PRO]ECT -1
ocCUPANT/EUSINESS IUTT : O oec$
PRoPERTY ot{NER' 5 NA}IE: o G}€}')*t q(lce.d<
OTJNER'5 ADDRESS: -'l lz-i Sl-'CITY:
AG G"rh'"ltt'^r Jvc-
t- Zl
ilt, .o*t*r.rton, g
ACCESSORY STRUCTURE:
If UPFIT - The Shell Permit #:
LICENSE S:8"
CfW: F,
Cer.
ERECT NEh]srRucruRE l-l FAST TRACK SHELL UPFIT ADD TO EXIST STRUCTUREoa $,ltd
PHONE *:
CONTRACTOR:
ADDRESS:
PHONE f ,D .?
sr:(g zIP:Z*4 Ll
ST:Nc zrp. 231ttp {bl26f
,,;{ ves l-r rc
1.1fl4R te l1:168ll
NC REG *:
NC REG *:
Co{€>A
EilAIL ADDRESS:!L Qc.^6.t o- Ye[oo .
PRO]ECT COT'ITACT RSON
PHONE $:
(Che.t All Ihat APPIY)
i::11 j:J:l1Hlj:l;,H,:::'ffJ::1,"m:ffi :l'fl,trfrIi:^..Hr#.T''I RELOCATION
eHrHxr-eneo7- v""5,
Csr,.tCC-eta 8ar"i.-A Ir
Is Elect Pouer on this BuildinB
*.T** IS THIS A C}IANGE OF OCCUPANCY UsE? T]
IFYe5,r,hat}rasthePreviou5occupancyType?-t.lhat
IXEfi 'otst* PRoFEssrottAL :
YES
is F no.".'
the NeH Occupancy
PH:
PH:
ENGR DESIGN PRoFESSIOiIAL:-
DESCRIPTION OF WORK:r{t q.,< 6? (o*Ce+z
SYSTEM
PAYMENT METHOD
SEPARAIE PERMITS REOUIRE
f cnsn l- cHecx
ZONE OFFICERnpprou"ll-
D FOF ELECT, MECH, PLBG, GAS EOUIP' PREFABS E INSERIS
(eAvABLE To NHc) f AMERIcAN Exeness l-, tucrutse [- otscoveR
(FOR OFFICE USE ONLY)
SETBACKS: F: LH RH- B--
BFE+2ft.
Comment
City: DATE- FLOOD
N
PERMIT FEE: :
AFFf-cA oN
Number
(Offi.e Use)
ls food or beverages prepared or served in this strudure?fl ls The Property Located ln The Floodplainrc Yed ,